Home loan application

Co-applicant or surety 1
Refer to form number for Main applicant, form number 00141516
Hierdie vorm is ook beskikbaar in Afrikaans, vorm nommer 00142201
Surety

Co-applicant

Main applicant identity number

Section A
Co-Applicant/surety details
Title

Initials

First name

Date of birth

Gender

(YYYY-MM-DD)

Yes

Are you a South African citizen?

Marital status

Surname
Identity
type

Married

Marital type

No

Single

Yes

Are you a permanent resident?

Divorced
Yes

Antenuptial contract?

Identity
number
Country of
citizenship

No

Other (please specify)

No

In community of property?

Yes

No

Number of dependants (include spouse if unemployed)

Contact details
Present home address
Present postal address
(if different from home address)

Suburb

Postal code

Suburb

Postal code

Telephone number (Work)

Telephone number (Home)

Cellphone number

Email address
Solvency
Have you ever been declared insolvent (bankrupt)?

Yes

No

Are you bound by any suretyship agreements?

Yes

No

Administration order?

Yes

No

Debt review/Business rescue?

Yes

No

Date you were rehabilitated

(no longer bankrupt or insolvent) if it applies (YYYY-MM-DD)
If yes, for what is the
suretyship agreement

On account of

Bank details
Your main bank

Branch

Account type

Account number
Debit order

How will you pay the monthly bond payments?

Direct from salary by employer

Employment details
Current employment type

Permanent

Self-employed

Retired

If self-employed, how many years (YY)

Unemployed
How are you paid?

Other
(please specify)
Monthly

Weekly

Occupation
Nature of business
Employer telephone number

Employer name
Email address

Postal code

Employer street address

Time with previous employer (YY-MM)

Time with present employer (YY-MM)

Previous employer name
(if less than three years with current employer)

Previous employer telephone number

Income and expenses

*Foot notes (expenses)
1 Exclude current bond if this loan will replace a current home loan

Gross (total) salary

Other verifiable income

Total monthly income

*Total monthly expenses

2 Exclude payment of the loan you are applying for

3 Further-Advance loan: Exclude current and new payment on the
current home loan

00142191 2011-02

Money you have available for loan repayment R

The Standard Bank of South Africa Limited (Reg. No. 1962/000738/06) An authorised financial services and registered credit provider (NCRCP15).

Page 1 of 4

Section B
Extra information
Please fill in information that may affect the Banks decision

Any outstanding credit applications?

Yes

No

If yes, details

Any bureaus listing that you are disputing?

Yes

No

If yes, details

As part of our service The Standard Bank of South Africa Limited would like to provide you with information on products and services offered by the group
and other companies, which we believe may benefit you.
Because we regard your personal information as confidential, we need your consent to share it with the group. The group means our affiliates, associates,
subsidiaries and divisions together with our holding company.

Marketing consent
I consent to:

Please tick
applicable

you marketing your products, services and special offers to me.

Yes

No

you communicating other companies products, services and special offers to me. If I respond positively to such communication,
I may be contacted by that company.

Yes

No

you sharing my personal information within the group for marketing purposes and the group then marketing its products,
services and special offers to me.

Yes

No

you contacting me for research purposes. (The research companies we use follow strict codes of conduct and treat customer
information confidentially).

Yes

No

Consent
I agree that the Bank may enquire about my credit record with any credit reference agencies to consider this credit application or to update my information.
I agree that the Bank may share information with other credit agencies about how I manage this loan agreement during the time of the loan.
The agencies may share this information with other credit providers.
I also agree that the Bank may carry out identity and fraud prevention checks and share information relating to this application with the South African Fraud
Prevention Service.
I agree that I will be responsible for the administration fees and wasted costs that the Bank incurs if I cancel my loan request after the Bank has granted it.
Please note that if you are married in Community of Property, this agreement will be in both you and your spouses names.
I confirm that the information I have given is correct and a true reflection of my financial position and that there is no other information that would affect the
Banks decision to approve the loan.

Signatures

Co-applicant/surety 1

Date (YYYY-MM-DD)

Contact details

00142191 2011-02

Page 2 of 4

Home loan application

Co-applicant or surety 2
Refer to form number for Main applicant, form number 00141516
Hierdie vorm is ook beskikbaar in Afrikaans, vorm nommer 00142201
Surety

Co-applicant

Main applicant identity number

Section A
Co-Applicant/surety details
Title

Initials

First name

Date of birth

Gender

(YYYY-MM-DD)

Yes

Are you a South African citizen?

Marital status

Surname
Identity
type

Married

Marital type

No

Single

Yes

Are you a permanent resident?

Divorced
Yes

Antenuptial contract?

Identity
number
Country of
citizenship

No

Other (please specify)

No

In community of property?

Yes

No

Number of dependants (include spouse if unemployed)

Contact details
Present home address
Present postal address
(if different from home address)

Suburb

Postal code

Suburb

Postal code

Telephone number (Work)

Telephone number (Home)

Cellphone number

Email address
Solvency
Have you ever been declared insolvent (bankrupt)?

Yes

No

Are you bound by any suretyship agreements?

Yes

No

Administration order?

Yes

No

Debt review/Business rescue?

Yes

No

Date you were rehabilitated

(no longer bankrupt or insolvent) if it applies (YYYY-MM-DD)
If yes, for what is the
suretyship agreement

On account of

Bank details
Your main bank

Branch

Account type

Account number
Debit order

How will you pay the monthly bond payments?

Direct from salary by employer

Employment details
Current employment type

Permanent

Self-employed

Retired

If self-employed, how many years (YY)

Unemployed
How are you paid?

Other
(please specify)
Monthly

Weekly

Occupation
Nature of business
Employer telephone number

Employer name
Email address

Postal code

Employer street address

Time with previous employer (YY-MM)

Time with present employer (YY-MM)

Previous employer name
(if less than three years with current employer)

Previous employer telephone number

Income and expenses

*Foot notes (expenses)
1 Exclude current bond if this loan will replace a current home loan

Gross (total) salary

Other verifiable income

Total monthly income

*Total monthly expenses

2 Exclude payment of the loan you are applying for

3 Further-Advance loan: Exclude current and new payment on the
current home loan

00142191 2011-02

Money you have available for loan repayment R

The Standard Bank of South Africa Limited (Reg. No. 1962/000738/06) An authorised financial services and registered credit provider (NCRCP15).

Page 3 of 4

Section B
Extra information
Please fill in information that may affect the Banks decision

Any outstanding credit applications?

Yes

No

If yes, details

Any bureaus listing that you are disputing?

Yes

No

If yes, details

As part of our service The Standard Bank of South Africa Limited would like to provide you with information on products and services offered by the group
and other companies, which we believe may benefit you.
Because we regard your personal information as confidential, we need your consent to share it with the group. The group means our affiliates, associates,
subsidiaries and divisions together with our holding company.

Marketing consent
I consent to:

Please tick
applicable

you marketing your products, services and special offers to me.

Yes

No

you communicating other companies products, services and special offers to me. If I respond positively to such communication,
I may be contacted by that company.

Yes

No

you sharing my personal information within the group for marketing purposes and the group then marketing its products,
services and special offers to me.

Yes

No

you contacting me for research purposes. (The research companies we use follow strict codes of conduct and treat customer
information confidentially).

Yes

No

Consent
I agree that the Bank may enquire about my credit record with any credit reference agencies to consider this credit application or to update my information.
I agree that the Bank may share information with other credit agencies about how I manage this loan agreement during the time of the loan.
The agencies may share this information with other credit providers.
I also agree that the Bank may carry out identity and fraud prevention checks and share information relating to this application with the South African Fraud
Prevention Service.
I agree that I will be responsible for the administration fees and wasted costs that the Bank incurs if I cancel my loan request after the Bank has granted it.
Please note that if you are married in Community of Property, this agreement will be in both you and your spouses names.
I confirm that the information I have given is correct and a true reflection of my financial position and that there is no other information that would affect the
Banks decision to approve the loan.

Signatures

Co-applicant/surety 2

Date (YYYY-MM-DD)

Contact details

00142191 2011-02

Page 4 of 4